CS TMC EXAM ONE Newest 2026-2027 Actual Exam

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C&S TMC EXAM ONE Newest 2026-2027 Actual Exam Preparation With Complete Questions And Correct Answers With Rationales | Already Graded A+||Brand New Version!!

. A patient with severe ARDS with a pulmonary artery catheter in place is receiving mechanical ventilation via volume, ventilator. The patient requires an FIO2 of 1.0 and PEEP of 22 cm H2O to maintain an adequate Pa02. On occasion, the patient becomes combative and tries to get out of bed. Each time this occurs, the high pressure limit alarm sounds repeatedly and the SvO2 drops below 50%. The RT should recommend? - ANSWER-- administering midazolam (Versed)

36 hrs after initiation of mechanical ventilation, a patients chest x ray shows dense bilateral infiltrates. The patient has gained 2.5kg (5.5lb) and the urinary output is averaging 28ml/hr. Chest auscultation reveals fine crackles throughout all lung fields.Which of the following interventions would be appropriate at this time? - ANSWER-- 3; yes/no/yes

During the administration of an ultrasonic nebulizer with half- normal saline. The RT notes the onset of inspiratory wheezes in 1 / 4

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the left lower lung field. The therapist should do which of the following? - ANSWER-- terminate the treatment and obtain an order for a bronchodilator treatment

Which of the following is indicated for hypotension that is unresponsive to fluid resuscitation? - ANSWER-- a vasopressor agent

A patient has just been admitted to the ED for an acute asthmatic attack. The physician has prescribed albuterol (provent), Ipratropium Bromide(atrovent), and fluticasone (flovent). Which of the following is the correct order of administration of these drugs? - ANSWER-- albuterol,ipratropium, fluticasone.

A patient who develops sub-glottic edema following extubation would benefit from the administration of which of the following? - ANSWER-- nebulized racemic epinephrine

While performing endotracheal suctioning on an intubated pediatric asthmatic patient, the RT observes that the patient becomes severely bronchospastic. The therapist should - ANSWER-- recommended endotracheal instillation of lidocaine (Xylocaine) prior to suctioning

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Higher than normal levels of exhaled nitric oxide generally

mean: - ANSWER-- airway inflammation due to asthma

. Which of the following should be done immediately following a lung recruitment maneuver? - ANSWER-- perform a decremental PEEP study

A 36 weeks gestation neonate is being mechanically ventilated.

The ventilator settings are: PIP 24, RR 32/min, I-Time 0.6 sec,

flow rate 8 L/ min, PEEP 6 cm H2O, and FIO2 0.45. The neonates physician is concerned about the volume/ pressure loop, which is shown to the right. The RT should suggest which of the following? - ANSWER-- decreasing PIP to 20 cm H20

The pressure and flow curves shown to the right were recorded from a mechanically ventilated patient receiving pressure control ventilation (PCV).Using the pressure and flow curves represented in "A" as the reference, which of the following best explains the change in the pressure and flow curves represented in "B" - ANSWER-. - optimal inspiratory time has been achieved

When the ventilator rate of a mechanically ventilated patient is decreased from 8/min to 6/min, the patient becomes agitated and 3 / 4

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the etCO2 increases from 44 mm Hg to 51 mm Hg. Based on

this change, the RT should conclude that: - ANSWER-- alveolar

ventilation has decreased

The high respiratory rate and I:E ratio ventilator alarms have

activated on a mechanically ventilated adult patient who has a long history of chronic CO2 retention. Which of the following is most likely to occur as a result of this situation? - ANSWER-- increased hyperinflation and air trapping

Which of the following will occur when the high pressure limit

is reached on a volume ventilator? - ANSWER-- 3: no/yes/no

.While performing a ventilator check on a sedated and paralyzed patient, the RT notes that the mechanical rate is set at 12/min, but the total rate reads 16/min. The RT should - ANSWER-- adjust the sensitivity settings

To increase the VT of a patient receiving noninvasive positive pressure ventilation (NPPV), the RT should - ANSWER-- increases the gradient between the EPAP and IPAP levels

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